| Tull Oral And Facial Surgery | |
|
12541 Foster St Suite 330 Overland Park KS 66213-2630 | |
| (913) 888-9300 | |
| (913) 541-1108 |
| Full Name | Tull Oral And Facial Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12541 Foster St, Overland Park, Kansas |
| Authorized Official Name and Position | Gregory T Tull (OWNER) |
| Authorized Official Contact | 9138889300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tull Oral And Facial Surgery 12541 Foster St Suite 330 Overland Park KS 66213-2630 Ph: (913) 888-9300 | Tull Oral And Facial Surgery 12541 Foster St Suite 330 Overland Park KS 66213-2630 Ph: (913) 888-9300 |
| NPI Number | 1255522330 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255522330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60285 (Kansas) | Primary |
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